Mastitis Clinical Trial
Official title:
A RCT in Sweden of Acupuncture and Care Interventions for the Relief of Inflammatory Symptoms of the Breast During Lactation
Verified date | November 2006 |
Source | Karlstad University |
Contact | n/a |
Is FDA regulated | No |
Health authority | Sweden: Swedish National Council on Medical Ethics |
Study type | Interventional |
The objective of the study was to test the hypothesis that acupuncture treatment hastens recovery time from inflammatory symptoms of the breast during breastfeeding. 205 mothers with 210 cases of breast inflammation (commonly called "mastitis") during breastfeeding were randomly assigned to one of three treatment groups. There were two groups where acupuncture was used and one without acupuncture. The mothers symptoms were recorded at the onset of health care contact and daily until recovery. All care interventions given, including antibiotic therapy, were monitored. Women who participated were asked to leave a breast milk sample to test for bacterial growth. It was found that acupuncture did not shorten the women's contacts with health care services but did improve their symptoms on contact days 3 and 4. It was seen in this study that only 15 % of women were prescribed antibiotics which was a very low rate of prescription compared to USA, Canada, Australia, Turkey and New Zealand where up to 100% are given antibiotics. Seven women (3.3% of those in the study) developed a breast boil and this is a similar number to a study in Australia where many more were treated by antibiotics. This could mean that many women throughout the world are given antibiotics when in fact they may recover without them. This is an important finding in relation to the fight against antibiotic resistant bacteria.
Status | Completed |
Enrollment | 210 |
Est. completion date | March 2004 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Lactating mothers with symptoms of breast inflammation - Any mixture of increased breast tension, fever, breast erythema, lumps in the breast Exclusion Criteria: - Non-Swedish speaking - Psychiatric illness - Hemorrhagic disease - Prosthetic heart valves - Skin infections - Hepatitis B - HIV positive. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Sweden | Dept Obstetrics & Gynecology, Helsingborg Hospital | Helsingborg | Skane |
Lead Sponsor | Collaborator |
---|---|
Karlstad University |
Sweden,
Kvist LJ, Hall-Lord ML, Rydhstroem H, Larsson BW. A randomised-controlled trial in Sweden of acupuncture and care interventions for the relief of inflammatory symptoms of the breast during lactation. Midwifery. 2007 Jun;23(2):184-95. Epub 2006 Oct 18. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of women with lowest possible scores for symptom severity on days 3,4 and 5 in the three groups | |||
Primary | Comparison of the three groups for mean scores for symptom severity on days 3,4 and 5 | |||
Primary | Comparison of the three treatment groups for number of contact days with health care services until recovery | |||
Primary | Proportion of mothers in the three groups with less favourable outcomes (6 or more contact days to recovery) | |||
Primary | Comparison of the three groups for proportions of women prescribed antibiotics | |||
Primary | Comparison of the three groups for proportions of mothers who developed breast abscess | |||
Primary | Proportions of women in the three groups who experienced residual symptoms within 6 weeks which required renewed health care contact | |||
Primary | Comparison of the three groups for care interventions used | |||
Secondary | Amounts of bacteria in the breast milk and correlated to erythema, increased breast tension and pain at first contact | |||
Secondary | Type of bacteria in breast milk related to favourable outcomes (5 or less contact days) and less favorable outcomes (6 or more contact days) | |||
Secondary | Differences in care interventions used in relation to favourable/less favourable outcomes | |||
Secondary | Relationship between the occurrence of residual symptoms and the use of antibiotics |
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